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February 18, 1974

Submucosal Gallbladder Emphysema

Author Affiliations

From the Department of Medicine, Michigan State University, East Lansing (Dr. Campbell), and the Department of Radiology, Sacred Heart Hospital, Cumberland, Md (Dr. Rogers).

JAMA. 1974;227(7):790-791. doi:10.1001/jama.1974.03230200048010

The clinical course of emphysematous cholecystitis is highly correlated with diabetes, male sex, and age of more than 50 years. Roentgenographic features include luminal and occasionally submucosal gallbladder gas. Clinically, the patient may be jaundiced and frequently has a history of cholecystitis. In most cases, an enlarged mass is palpable in the right upper quadrant of the abdomen, and the patient may be in a more toxic condition than physical signs indicate. Submucosal gallbladder emphysema has grave prognostic importance, as it implies mucosal gallbladder necrosis.